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  • Posting Date: 10/14/2021
    Drugs and Biologicals - Coverage and Billing

    Drugs and Biologicals – Coverage and Billing Medicare Part B will provide coverage for drugs that are furnished “incident to” a physician’s service. Coverage applies to drugs are not usually self-administered by the patients who take them. In [...]

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  • Posting Date: 02/10/2015
    Outpatient Therapy Functional Reporting

    Outpatient Therapy Functional Reporting Table of Contents Outpatient Therapy Functional Reporting Reporting Episode - similar to the therapy episode of care Required Functional Reporting Discharge Reporting Unique Functional Reporting [...]

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  • Posting Date: 01/12/2021
    Home Health Referrals

    Home Health Referrals The certifying physician or allowed nonphysician practitioner, and/or the acute/post-acute care facility referring the patient for home care must ensure that the medical record justifies the referral for Medicare home [...]

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  • Posting Date: 06/02/2020
    Modifier CS and COVID-19 Billing

    Modifier CS and COVID-19 Billing How should the CS modifier, which removes application of beneficiary cost-sharing (deductible and co-payment), be applied to telehealth services and/or E/M visits? The CS modifier should be applied for certain [...]

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